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Lucas Dale Young
Psychiatric/Mental Health Nurse Practitioner in Charles Town, West Virginia
NPI 1992447742

Lucas Dale Young is a Psychiatric/Mental Health Nurse Practitioner based in Charles Town, WV and is specialized in Psychiatric/Mental Health. Lucas Dale Young practices in Charles Town, WV. The NPI Number for Lucas Dale Young is 1992447742 and holds a License No. AC004327 (West Virginia).

The current practice location address for Lucas Dale Young is 157 Burberry Ln, Charles Town, WV and can be reached out via phone at 571-420-6966.

Location: 157 Burberry Ln, Charles Town, WV, 25414-5647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992447742
Provider Name
Lucas Dale Young
Credential
Provider Entity Type
Individual
Gender
Male
Address
157 Burberry Ln, Charles Town, WV, 25414-5647
Phone Number
571-420-6966
Fax Number
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
157 Burberry Ln
City
Charles Town
State
West Virginia
Zip
25414-5647
Phone Number
571-420-6966
Fax Number
person
Provider Business Mailing Address Details
Address
157 Burberry Ln
City
Charles Town
State
West Virginia
Zip
25414-5647
Phone Number
571-420-6966
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AC004327 (Maryland)
Definition
Definition to come...
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